Scholars@Duke
Remy Rene Coeytaux

Remy Rene Coeytaux

Adjunct Associate Professor in the Department of Family Medicine and Community Health
Family Medicine and Community Health, Family Medicine
remy.coeytaux@duke.edu
North Pavillion Building, Durham, NC 27705
2200 W. Main Street, Suite 220, Box 3896, Durham, NC 27710

Selected Publications

Results of a pilot study of a cooling mattress pad to reduce vasomotor symptoms and improve sleep.

Journal Article Menopause · August 1, 2022 OBJECTIVE: This single-arm pilot study was designed to generate pilot data on the use of a cooling mattress pad system on vasomotor symptoms (VMS; hot flashes and/or night sweats), self-assessed sleep, and daily hot flash interference among perimenopausal ... Full text Link to item Cite

Incorporating Acupuncture Into American Healthcare: Initiating a Discussion on Implementation Science, the Status of the Field, and Stakeholder Considerations

Journal Article Global Advances In Health and Medicine · January 1, 2021 Introduction: The field of implementation science is the study of methods that promote the uptake of evidence-based interventions into healthcare policy and practice. While acupuncture has gained significant traction in the American healthcare landscape, i ... Full text Cite

The authors reply.

Journal Article Crit Care Med · November 2020 Full text Link to item Cite

Use of Ayurveda in the Treatment of Type 2 Diabetes Mellitus

Journal Article Global Advances In Health and Medicine · August 1, 2019 Background: Ayurveda is an ancient medicine practice that is emerging in the United States as a complementary and alternative treatment for chronic illness. Type 2 diabetes is a chronic illness that has major long-term implications for individuals sufferin ... Full text Cite

Acupuncture for Chronic Low Back Pain: Recommendations to Medicare/Medicaid from the Society for Acupuncture Research.

Journal Article J Altern Complement Med · April 2019 Editor's Note: This column takes our series from the Society for Acupuncture Research (SAR) in a new direction. Recently, the U.S. government's Center for Medicare and Medicaid Services (CMS) issued a call for public comment related to the government's exp ... Full text Link to item Cite

A pooled analysis of three studies of nonpharmacological interventions for menopausal hot flashes.

Journal Article Menopause · April 2019 OBJECTIVE: The aim of the study was to conduct a pooled analysis of three published trials of nonpharmacological interventions for menopausal hot flashes to compare the effectiveness of interventions. METHODS: Data from three randomized controlled trials o ... Full text Link to item Cite

Nonpharmacological Self-Management of Migraine Across Social Locations: An Equity-Oriented, Qualitative Analysis.

Journal Article Glob Adv Health Med · 2019 BACKGROUND: Migraine is a disabling neurological disorder and the sixth biggest cause of disability worldwide. The World Health Organization has declared migraine a major public health problem due to a paucity of knowledge about cause and effective treatme ... Full text Link to item Cite

Assessing heterogeneity of treatment effect analyses in health-related cluster randomized trials: A systematic review.

Journal Article PLoS One · 2019 BACKGROUND: Cluster-randomized trials (CRTs) are being increasingly used to test a range of interventions, including medical interventions commonly used in clinical practice. Policies created by the NIH and the Food and Drug Administration (FDA) require th ... Full text Link to item Cite

A Critical Exploration of Migraine as a Health Disparity: the Imperative of an Equity-Oriented, Intersectional Approach.

Journal Article Curr Pain Headache Rep · October 5, 2018 PURPOSE OF REVIEW: Despite recognition of rising prevalence and significant burden, migraine remains underestimated, underdiagnosed, and undertreated. This is especially true among groups who have been historically, socially, and economically marginalized ... Full text Link to item Cite

Nonpharmacologic Treatments for Attention-Deficit/Hyperactivity Disorder: A Systematic Review.

Journal Article Pediatrics · June 2018 CONTEXT: Nonpharmacologic treatments for attention-deficit/hyperactivity disorder (ADHD) encompass a range of care approaches from structured behavioral interventions to complementary medicines. OBJECTIVES: To assess the comparative effectiveness of nonpha ... Full text Link to item Cite

Management of Menopause Symptoms with Acupuncture: An Umbrella Systematic Review and Meta-Analysis.

Journal Article J Altern Complement Med · April 2018 OBJECTIVES: Vasomotor symptoms (VMSs) are the most common symptoms reported during menopause. Although hormone therapy is effective for reducing VMSs, its use is restricted in some women. Many women with VMSs thus seek nonhormonal, nonpharmacologic treatme ... Full text Link to item Cite

Systematic review and meta-analysis of endovascular and surgical revascularization for patients with chronic lower extremity venous insufficiency and varicose veins.

Journal Article Am Heart J · February 2018 BACKGROUND: Chronic lower extremity venous disease (LECVD) is twice as prevalent as coronary heart disease, and invasive therapies to treat LECVD accounted for an estimated $290 million in Medicare expenditures in 2015. Despite increasing use of these inva ... Full text Link to item Cite

A Qualitative, Systems Thinking Approach to Study Self-Management in Women With Migraine.

Journal Article Nurs Res · 2018 BACKGROUND: A dearth of effective and affordable treatment options has rendered nonpharmacological self-management a crucial part of living with migraine-a debilitating neurobiological condition without cure that disproportionately disables vulnerable wome ... Full text Link to item Cite

Headache

Chapter · January 1, 2018 Full text Cite

Acupuncture for chronic pain in the vermont medicaid population: A prospective, pragmatic intervention trial

Journal Article Global Advances In Health and Medicine · January 1, 2018 Introduction: In response to the opioid crisis, the 2016 Vermont legislature commissioned a study to assess acupuncture for patients with chronic pain in the Vermont Medicaid population. Objective: To assess the feasibility, acceptability, and effectivenes ... Full text Cite

Toward an Emerging Era of Optimization Research for Acupuncture.

Journal Article J Altern Complement Med · November 2017 Full text Link to item Cite

Improving vasomotor symptoms; psychological symptoms; and health-related quality of life in peri- or post-menopausal women through yoga: An umbrella systematic review and meta-analysis.

Journal Article Complement Ther Med · October 2017 OBJECTIVES: Vasomotor symptoms (VMS), commonly reported during menopausal transition, negatively affect psychological health and health-related quality of life (HRQoL). While hormone therapy is an effective treatment, its use is limited by concerns about p ... Full text Link to item Cite

Reduction in Pain Medication Prescriptions and Self-Reported Outcomes Associated with Acupuncture in a Military Patient Population

Journal Article Medical Acupuncture · August 1, 2017 Background: Acupuncture is being offered to patients as part of routine medical care in selected military bases in the United States. There is little published information about the clinical outcomes associated with acupuncture in these clinical settings. ... Full text Cite

Use of mindfulness, meditation and relaxation to treat vasomotor symptoms.

Journal Article Climacteric · April 2017 Postmenopausal women with bothersome vasomotor symptoms (VMS) often seek alternatives to hormone-based treatment due to medication risks or personal preference. We sought to identify the effects of meditation, mindfulness, hypnosis and relaxation on VMS an ... Full text Link to item Cite

Results of a pilot study of a cooling mattress pad to reduce vasomotor symptoms and improve sleep.

Journal Article Menopause · August 1, 2022 OBJECTIVE: This single-arm pilot study was designed to generate pilot data on the use of a cooling mattress pad system on vasomotor symptoms (VMS; hot flashes and/or night sweats), self-assessed sleep, and daily hot flash interference among perimenopausal ... Full text Link to item Cite

Incorporating Acupuncture Into American Healthcare: Initiating a Discussion on Implementation Science, the Status of the Field, and Stakeholder Considerations

Journal Article Global Advances In Health and Medicine · January 1, 2021 Introduction: The field of implementation science is the study of methods that promote the uptake of evidence-based interventions into healthcare policy and practice. While acupuncture has gained significant traction in the American healthcare landscape, i ... Full text Cite

The authors reply.

Journal Article Crit Care Med · November 2020 Full text Link to item Cite

Use of Ayurveda in the Treatment of Type 2 Diabetes Mellitus

Journal Article Global Advances In Health and Medicine · August 1, 2019 Background: Ayurveda is an ancient medicine practice that is emerging in the United States as a complementary and alternative treatment for chronic illness. Type 2 diabetes is a chronic illness that has major long-term implications for individuals sufferin ... Full text Cite

Acupuncture for Chronic Low Back Pain: Recommendations to Medicare/Medicaid from the Society for Acupuncture Research.

Journal Article J Altern Complement Med · April 2019 Editor's Note: This column takes our series from the Society for Acupuncture Research (SAR) in a new direction. Recently, the U.S. government's Center for Medicare and Medicaid Services (CMS) issued a call for public comment related to the government's exp ... Full text Link to item Cite

A pooled analysis of three studies of nonpharmacological interventions for menopausal hot flashes.

Journal Article Menopause · April 2019 OBJECTIVE: The aim of the study was to conduct a pooled analysis of three published trials of nonpharmacological interventions for menopausal hot flashes to compare the effectiveness of interventions. METHODS: Data from three randomized controlled trials o ... Full text Link to item Cite

Nonpharmacological Self-Management of Migraine Across Social Locations: An Equity-Oriented, Qualitative Analysis.

Journal Article Glob Adv Health Med · 2019 BACKGROUND: Migraine is a disabling neurological disorder and the sixth biggest cause of disability worldwide. The World Health Organization has declared migraine a major public health problem due to a paucity of knowledge about cause and effective treatme ... Full text Link to item Cite

Assessing heterogeneity of treatment effect analyses in health-related cluster randomized trials: A systematic review.

Journal Article PLoS One · 2019 BACKGROUND: Cluster-randomized trials (CRTs) are being increasingly used to test a range of interventions, including medical interventions commonly used in clinical practice. Policies created by the NIH and the Food and Drug Administration (FDA) require th ... Full text Link to item Cite

A Critical Exploration of Migraine as a Health Disparity: the Imperative of an Equity-Oriented, Intersectional Approach.

Journal Article Curr Pain Headache Rep · October 5, 2018 PURPOSE OF REVIEW: Despite recognition of rising prevalence and significant burden, migraine remains underestimated, underdiagnosed, and undertreated. This is especially true among groups who have been historically, socially, and economically marginalized ... Full text Link to item Cite

Nonpharmacologic Treatments for Attention-Deficit/Hyperactivity Disorder: A Systematic Review.

Journal Article Pediatrics · June 2018 CONTEXT: Nonpharmacologic treatments for attention-deficit/hyperactivity disorder (ADHD) encompass a range of care approaches from structured behavioral interventions to complementary medicines. OBJECTIVES: To assess the comparative effectiveness of nonpha ... Full text Link to item Cite

Management of Menopause Symptoms with Acupuncture: An Umbrella Systematic Review and Meta-Analysis.

Journal Article J Altern Complement Med · April 2018 OBJECTIVES: Vasomotor symptoms (VMSs) are the most common symptoms reported during menopause. Although hormone therapy is effective for reducing VMSs, its use is restricted in some women. Many women with VMSs thus seek nonhormonal, nonpharmacologic treatme ... Full text Link to item Cite

Systematic review and meta-analysis of endovascular and surgical revascularization for patients with chronic lower extremity venous insufficiency and varicose veins.

Journal Article Am Heart J · February 2018 BACKGROUND: Chronic lower extremity venous disease (LECVD) is twice as prevalent as coronary heart disease, and invasive therapies to treat LECVD accounted for an estimated $290 million in Medicare expenditures in 2015. Despite increasing use of these inva ... Full text Link to item Cite

A Qualitative, Systems Thinking Approach to Study Self-Management in Women With Migraine.

Journal Article Nurs Res · 2018 BACKGROUND: A dearth of effective and affordable treatment options has rendered nonpharmacological self-management a crucial part of living with migraine-a debilitating neurobiological condition without cure that disproportionately disables vulnerable wome ... Full text Link to item Cite

Headache

Chapter · January 1, 2018 Full text Cite

Acupuncture for chronic pain in the vermont medicaid population: A prospective, pragmatic intervention trial

Journal Article Global Advances In Health and Medicine · January 1, 2018 Introduction: In response to the opioid crisis, the 2016 Vermont legislature commissioned a study to assess acupuncture for patients with chronic pain in the Vermont Medicaid population. Objective: To assess the feasibility, acceptability, and effectivenes ... Full text Cite

Toward an Emerging Era of Optimization Research for Acupuncture.

Journal Article J Altern Complement Med · November 2017 Full text Link to item Cite

Improving vasomotor symptoms; psychological symptoms; and health-related quality of life in peri- or post-menopausal women through yoga: An umbrella systematic review and meta-analysis.

Journal Article Complement Ther Med · October 2017 OBJECTIVES: Vasomotor symptoms (VMS), commonly reported during menopausal transition, negatively affect psychological health and health-related quality of life (HRQoL). While hormone therapy is an effective treatment, its use is limited by concerns about p ... Full text Link to item Cite

Reduction in Pain Medication Prescriptions and Self-Reported Outcomes Associated with Acupuncture in a Military Patient Population

Journal Article Medical Acupuncture · August 1, 2017 Background: Acupuncture is being offered to patients as part of routine medical care in selected military bases in the United States. There is little published information about the clinical outcomes associated with acupuncture in these clinical settings. ... Full text Cite

Use of mindfulness, meditation and relaxation to treat vasomotor symptoms.

Journal Article Climacteric · April 2017 Postmenopausal women with bothersome vasomotor symptoms (VMS) often seek alternatives to hormone-based treatment due to medication risks or personal preference. We sought to identify the effects of meditation, mindfulness, hypnosis and relaxation on VMS an ... Full text Link to item Cite

Trajectories of response to acupuncture for menopausal vasomotor symptoms: the Acupuncture in Menopause study.

Journal Article Menopause · February 2017 OBJECTIVE: To examine the trajectories of responses to acupuncture treatment for menopausal vasomotor symptoms (VMS) and the characteristics of women in each trajectory. METHODS: Two hundred nine perimenopausal and postmenopausal women aged 45 to 60 years ... Full text Link to item Cite

A new venue for providing catalytic global communications to promote health and healing

Journal Article Global Advances In Health and Medicine · January 1, 2017 Full text Cite

Role of Acupuncture in the Treatment or Prevention of Migraine, Tension-Type Headache, or Chronic Headache Disorders.

Journal Article Headache · July 2016 OBJECTIVE: To summarize the current evidence that evaluates the effectiveness of acupuncture for the treatment or prevention of migraine, tension-type headache, and chronic headache disorders. METHODS: Findings from selected systematic reviews and meta-ana ... Full text Link to item Cite

Acupuncture in Menopause (AIM) study: a pragmatic, randomized controlled trial.

Journal Article Menopause · June 2016 OBJECTIVE: The aim of the study was to evaluate the short and long-term effects of acupuncture on vasomotor symptoms (VMS) and quality of life-related measures. METHODS: A total of 209 perimenopausal and postmenopausal women aged 45 to 60 years, experienci ... Full text Link to item Cite

Nonpharmacologic, nonherbal management of menopause-associated vasomotor symptoms: an umbrella systematic review (protocol).

Journal Article Syst Rev · April 7, 2016 BACKGROUND: Vasomotor symptoms such as hot flashes and night sweats are a common concern of perimenopausal and postmenopausal women and are associated with a decreased quality of life. These symptoms can be effectively managed with hormone therapy, but saf ... Full text Open Access Link to item Cite

An evidence map of yoga for low back pain.

Journal Article Complement Ther Med · April 2016 OBJECTIVE: Yoga is being increasingly studied as a treatment strategy for a variety of different clinical conditions, including low back pain (LBP). We set out to conduct an evidence map of yoga for the treatment, prevention and recurrence of acute or chro ... Full text Link to item Cite

Evidence Map of Yoga for Depression, Anxiety, and Posttraumatic Stress Disorder.

Journal Article J Phys Act Health · March 2016 BACKGROUND: This study describes evidence of yoga's effectiveness for depressive disorders, general anxiety disorder (GAD), panic disorder (PD), and posttraumatic stress disorder (PTSD) in adults. We also address adverse events associated with yoga. METHOD ... Full text Link to item Cite

Unanticipated Insights into Biomedicine from the Study of Acupuncture.

Journal Article J Altern Complement Med · February 2016 Research into acupuncture has had ripple effects beyond the field of acupuncture. This paper identifies five exemplars to illustrate that there is tangible evidence of the way insights gleaned from acupuncture research have informed biomedical research, pr ... Full text Link to item Cite

Future Research Prioritization: Implantable Cardioverter-Defibrillator Therapy in Older Patients.

Journal Article J Gen Intern Med · December 2015 BACKGROUND: Although the implantable cardioverter-defibrillator (ICD) is highly effective therapy for preventing sudden cardiac death, there is considerable uncertainty about its benefits and harms in older patients, especially in the presence of factors, ... Full text Link to item Cite

Effectiveness of Exercise Programs for Management of Shoulder Pain in Manual Wheelchair Users With Spinal Cord Injury.

Journal Article J Neurol Phys Ther · October 2015 BACKGROUND AND PURPOSE: Shoulder pain is prevalent in manual wheelchair users (MWUs) with spinal cord injury (SCI). Therapeutic exercise has been demonstrated to be an effective, conservative approach to treating shoulder pain in able-bodied individuals. W ... Full text Link to item Cite

The association between lumbar spine radiographic features and low back pain: a systematic review and meta-analysis.

Journal Article Semin Arthritis Rheum · April 2015 BACKGROUND/PURPOSE: Low back pain (LBP) is a prevalent musculoskeletal condition and represents a substantial socioeconomic burden. Plain film radiography is a commonly used imaging technique. Radiographic features (RFs) such as disc space narrowing, osteo ... Full text Link to item Cite

Tools for assessing outcomes in studies of chronic cough: CHEST guideline and expert panel report.

Journal Article Chest · March 2015 BACKGROUND: Since the publication of the 2006 American College of Chest Physicians (CHEST) cough guidelines, a variety of tools has been developed or further refined for assessing cough. The purpose of the present committee was to evaluate instruments used ... Full text Link to item Cite

Treatment of chronic conditions with traditional Chinese medicine: findings from traditional Chinese medicine hospitals in Hubei, China.

Journal Article J Altern Complement Med · January 2015 OBJECTIVES: This study aimed to document clinical use of Traditional Chinese Medicine (TCM) for chronic conditions in all TCM hospitals in a Chinese province and to recommend treatments most in need of evaluation for use in community health centers. DESIGN ... Full text Link to item Cite

Overview of the management of cough: CHEST Guideline and Expert Panel Report.

Journal Article Chest · October 2014 This overview will demonstrate that cough is a common and potentially expensive health-care problem. Improvement in the quality of care of those with cough has been the focus of study for a variety of disciplines in medicine. The purpose of the Cough Guide ... Full text Link to item Cite

Prioritization of patient-centered comparative effectiveness research for osteoarthritis.

Journal Article Ann Intern Med · June 17, 2014 Osteoarthritis is a leading cause of disability in the United States. This article describes a prioritized research agenda about osteoarthritis management developed for the Patient-Centered Outcomes Research Institute. Evidence gaps were identified by revi ... Full text Link to item Cite

Comparative effectiveness and safety of drug therapy for pulmonary arterial hypertension: a systematic review and meta-analysis.

Journal Article Chest · May 2014 BACKGROUND: Current treatments for pulmonary arterial hypertension (PAH) have been shown to improve dyspnea, 6-min walk distance (6MWD), and pulmonary hemodynamics, but few studies were designed to compare treatment regimens or assess the impact of treatme ... Full text Link to item Cite

Prioritization of research addressing management strategies for ductal carcinoma in situ.

Journal Article Ann Intern Med · April 1, 2014 Ductal carcinoma in situ is a common finding in women having mammography screening, and there is considerable uncertainty about the balance of harms and benefits of different management options. This article outlines the process for developing a prioritize ... Full text Link to item Cite

Prioritization of research addressing antipsychotics for adolescents and young adults with bipolar disorder.

Journal Article Ann Intern Med · April 1, 2014 Despite a paucity of high-quality evidence about benefits and harms, antipsychotic medication use among adolescents and young adults with bipolar disorder is increasing. The Patient-Centered Outcomes Research Institute tasked the Duke Evidence Synthesis Gr ... Full text Link to item Cite

Efficacy and tolerability of treatments for chronic cough: a systematic review and meta-analysis.

Journal Article Chest · December 2013 BACKGROUND: Understanding the comparative effectiveness of treatments for patients with unexplained or refractory cough is important to increase awareness of proven therapies and their potential adverse effects in this unique population. METHODS: We perfor ... Full text Link to item Cite

Evaluating cough assessment tools: a systematic review.

Journal Article Chest · December 2013 BACKGROUND: Little is known about the comparative validity, reliability, or responsiveness of instruments for assessing cough frequency or impact, where the term impact encompasses both cough severity and the impact of cough on health-related quality of li ... Full text Link to item Cite

Oral contraceptives and risk of ovarian cancer and breast cancer among high-risk women: a systematic review and meta-analysis.

Journal Article J Clin Oncol · November 20, 2013 PURPOSE: To estimate the risks of ovarian cancer and breast cancer associated with oral contraceptive (OC) use among women at elevated risk owing to mutations in BRCA1/2 or a strong family history. METHODS: We searched PubMed, Embase, the Cochrane Database ... Full text Link to item Cite

Oral contraceptive use and risk of breast, cervical, colorectal, and endometrial cancers: a systematic review.

Journal Article Cancer Epidemiol Biomarkers Prev · November 2013 Oral contraceptives may influence the risk of certain cancers. As part of the AHRQ Evidence Report, Oral Contraceptive Use for the Primary Prevention of Ovarian Cancer, we conducted a systematic review to estimate associations between oral contraceptive us ... Full text Link to item Cite

Risk of acute thromboembolic events with oral contraceptive use: a systematic review and meta-analysis.

Journal Article Obstet Gynecol · August 2013 OBJECTIVE: To estimate the risk of venous thromboembolism, stroke, or myocardial infarction (MI) associated with the use of oral contraceptive pills (OCPs) and to describe how these risks vary by dose or formulation. DATA SOURCES: We searched PubMed, Embas ... Full text Link to item Cite

Oral contraceptive pills as primary prevention for ovarian cancer: a systematic review and meta-analysis.

Journal Article Obstet Gynecol · July 2013 OBJECTIVE: To estimate the overall reduction in ovarian cancer risk associated with the use of oral contraceptive pills (OCPs) and whether reduction in risk is affected by specifics of OCP use, such as formulation or duration of use. DATA SOURCES: We searc ... Full text Link to item Cite

Oral contraceptive use for the primary prevention of ovarian cancer.

Journal Article Evid Rep Technol Assess (Full Rep) · June 2013 OBJECTIVE: To estimate the overall balance of harms and benefits from the potential use of oral contraceptives (OCs) for the primary prevention of ovarian cancer DATA SOURCES: We searched PubMed®, Embase®, the Cochrane Database of Systematic Reviews, and C ... Link to item Cite

Risk of acute thromboembolic events with oral contraceptive use: a systematic review and meta-analysis.

Journal Article Obstetrics and gynecology · January 1, 2013 To estimate the risk of venous thromboembolism, stroke, or myocardial infarction (MI) associated with the use of oral contraceptive pills (OCPs) and to describe how these risks vary by dose or formulation. We searched PubMed, Embase, the Cochrane Database ... Cite

ECG-based signal analysis technologies for evaluating patients with acute coronary syndrome: a systematic review.

Journal Article J Electrocardiol · 2013 BACKGROUND/OBJECTIVES: Timely identification of cardiac ischemia is critical in patients with acute coronary syndrome (ACS). The first test is often the standard, resting 12-lead ECG. Given its limitations, signal analysis enhancements have been proposed. ... Full text Link to item Cite

Achieving health for a lifetime: a community engagement assessment focusing on school-age children to decrease obesity in Durham, North Carolina.

Journal Article North Carolina medical journal · January 2013 BackgroundObesity is a prominent problem in the United States and in North Carolina. One way of combating it is with community-engaged interventions that foster collaboration between health-oriented organizations and community residents.Purpos ... Cite

Acupuncture for the treatment or management of chronic pain.

Journal Article N C Med J · 2013 Evidence supports the safety and efficacy of acupuncture compared with no treatment, but it is unclear what role the placebo effect plays in acupuncture's efficacy. In determining whether acupuncture is indicated for a given individual or patient populatio ... Link to item Cite

Transitional care after hospitalization for acute stroke or myocardial infarction: a systematic review.

Journal Article Ann Intern Med · September 18, 2012 BACKGROUND: Transitional care is a time-limited service to prevent discontinuous care and adverse outcomes, including rehospitalization. PURPOSE: To describe transitional care interventions and evidence of benefit or harm in patients hospitalized for acute ... Full text Link to item Cite

Effect of clinical decision-support systems: a systematic review.

Journal Article Ann Intern Med · July 3, 2012 BACKGROUND: Despite increasing emphasis on the role of clinical decision-support systems (CDSSs) for improving care and reducing costs, evidence to support widespread use is lacking. PURPOSE: To evaluate the effect of CDSSs on clinical outcomes, health car ... Full text Link to item Cite

Updated report on comparative effectiveness of ACE inhibitors, ARBs, and direct renin inhibitors for patients with essential hypertension: much more data, little new information.

Journal Article J Gen Intern Med · June 2012 OBJECTIVES: A 2007 systematic review compared angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) in patients with hypertension. Direct renin inhibitors (DRIs) have since been introduced, and significant new research ... Full text Link to item Cite

Psychometric characteristics of outcome measures in juvenile idiopathic arthritis: a systematic review.

Journal Article Arthritis Care Res (Hoboken) · April 2012 OBJECTIVE: To review the performance characteristics of the instruments most commonly used to measure clinical outcomes in juvenile idiopathic arthritis (JIA), including global assessments, articular indices, functional/disability assessments, and quality ... Full text Link to item Cite

Enabling health care decisionmaking through clinical decision support and knowledge management.

Journal Article Evid Rep Technol Assess (Full Rep) · April 2012 OBJECTIVES: To catalogue study designs used to assess the clinical effectiveness of CDSSs and KMSs, to identify features that impact the success of CDSSs/KMSs, to document the impact of CDSSs/KMSs on outcomes, and to identify knowledge types that can be in ... Link to item Cite

Systematic review of disease-modifying antirheumatic drugs for juvenile idiopathic arthritis.

Journal Article BMC Pediatr · March 15, 2012 BACKGROUND: Treatment of juvenile idiopathic arthritis (JIA) with disease-modifying antirheumatic drugs (DMARDs) may improve outcomes compared to conventional therapy (e.g., non-steroidal anti-inflammatory drugs, intra-articular corticosteroids). The purpo ... Full text Link to item Cite

Headache

Chapter · January 1, 2012 Full text Cite

Acupuncture research in military and veteran populations: A rapid evidence assessment of the literature

Journal Article Medical Acupuncture · December 1, 2011 Background: In recent years, both the Department of Defense (DoD) and Department of Veterans Affairs (VA) have begun to turn to complementary and integrative medicine (CIM) therapies to help address chronic physical (pain) and psychological (post-traumatic ... Full text Cite

Transition of care for acute stroke and myocardial infarction patients: from hospitalization to rehabilitation, recovery, and secondary prevention.

Journal Article Evid Rep Technol Assess (Full Rep) · October 2011 OBJECTIVES: To review the available published literature to assess whether evidence supports a beneficial role for coordinated transition of care services for the postacute care of patients hospitalized with first or recurrent stroke or myocardial infarcti ... Link to item Cite

Credibility of low-strength static magnet therapy as an attention control intervention for a randomized controlled study of CranioSacral therapy for migraine headaches.

Journal Article J Altern Complement Med · August 2011 BACKGROUND: Developing valid control groups that generate similar perceptions and expectations to experimental complementary and alternative (CAM) treatments can be challenging. The perceived credibility of treatment and outcome expectancy often contribute ... Full text Link to item Cite

Auriculotherapy for pain management: a systematic review and meta-analysis of randomized controlled trials.

Journal Article J Altern Complement Med · October 2010 OBJECTIVES: Side-effects of standard pain medications can limit their use. Therefore, nonpharmacologic pain relief techniques such as auriculotherapy may play an important role in pain management. Our aim was to conduct a systematic review and meta-analysi ... Full text Open Access Link to item Cite

Percutaneous heart valve replacement for aortic stenosis: state of the evidence.

Journal Article Ann Intern Med · September 7, 2010 Surgical aortic valve replacement (SAVR) is the only treatment known to improve symptoms and survival in patients with severe, symptomatic aortic stenosis. Perioperative mortality, however, is high among many patients for whom SAVR may be indicated. Percut ... Full text Link to item Cite

Differences in Chinese diagnoses for migraine and tension-type headache: an analysis of the German acupuncture trials (GERAC) for headache.

Journal Article Cephalalgia · February 2010 A growing number of clinical trials are testing Chinese acupuncture in the management of headache disorders. Little is known, however, about the relationship between International Headache Society diagnostic criteria and traditional Chinese medicine (TCM) ... Full text Link to item Cite

Patient-based outcome assessment instruments in acupuncture research.

Journal Article J Altern Complement Med · January 2010 BACKGROUND: Outcome assessment can support the therapeutic process by providing a way to track symptoms and functionality over time, providing insights to clinicians and patients, as well as offering a common language to discuss patient behavior/functionin ... Full text Open Access Link to item Cite

Acupuncture to initiate labor (Acumoms 2): a randomized, sham-controlled clinical trial.

Journal Article J Matern Fetal Neonatal Med · October 2009 OBJECTIVE: To evaluate the efficacy of acupuncture for labor stimulation. METHODS: Nulliparous women at 38 weeks or greater were randomized to traditional Chinese medicine (TCM) acupuncture, sham acupuncture, or usual care only groups. Acupuncture points L ... Full text Link to item Cite

Acupuncture for Improving Chronic Back Pain, Osteoarthritis and Headache.

Journal Article Journal of clinical outcomes management : JCOM · May 2009 OBJECTIVE: To conduct a critical review of the literature on acupuncture for chronic back pain, osteoarthritis and headache. METHODS: Review of meta-analyses, systematic reviews and some well-conducted, recent studies. RESULTS: Overall, acupuncture appea ... Cite

Acupuncture for the treatment of common pain conditions: Chronic back pain, osteoarthritis, and headache

Journal Article Journal of Clinical Outcomes Management · May 1, 2009 Objective: To review the effects of acupuncture for 3 common chronic pain conditions: chronic back pain, osteoarthritis (OA), and headache. Methods: Review of meta-analyses, systematic reviews, and various recent well-conducted studies. Results: Overall, a ... Cite

Incorporating acupuncture in a university-based family medicine center: lessons learned.

Journal Article J Altern Complement Med · February 2009 OBJECTIVES: To evaluate the utilization, financial costs, and benefits of incorporating acupuncture into a university-based family medicine center. DESIGN: Retrospective billing records review. SETTING: An academic family medicine center located within a u ... Full text Link to item Cite

Craniosacral therapy for migraine: protocol development for an exploratory controlled clinical trial.

Journal Article BMC Complement Altern Med · June 9, 2008 BACKGROUND: Migraine affects approximately 20% of the population. Conventional care for migraine is suboptimal; overuse of medications for the treatment of episodic migraines is a risk factor for developing chronic daily headache. The study of non-pharmace ... Full text Link to item Cite

A randomized, controlled pilot study of acupuncture treatment for menopausal hot flashes.

Journal Article Menopause · 2008 Featured Publication OBJECTIVE: To investigate the feasibility of conducting a randomized trial of the effect of acupuncture in decreasing hot flashes in peri- and postmenopausal women. DESIGN: Fifty-six women ages 44 to 55 with no menses in the past 3 months and at least four ... Full text Link to item Cite

What is the impact of physician communication and patient understanding in the management of headache?

Journal Article Neuropsychiatric disease and treatment · December 2007 Migraine is a common and debilitating condition. Despite the burden of disease and increasing availability of effective treatment, migraine management is unsatisfactory. Evidence in other chronic conditions indicates that effective physician communication ... Full text Cite

Patient-centered outcomes for frequent headaches.

Journal Article Headache · April 2007 Featured Publication OBJECTIVE: To identify clinical outcomes that headache sufferers consider meaningful. BACKGROUND: Several standardized instruments have been developed to assess the severity of headaches and the impact of headaches on an individual's quality of life. To ou ... Full text Link to item Cite

Chronic daily headache in a primary care population: prevalence and headache impact test scores.

Journal Article Headache · January 2007 Featured Publication BACKGROUND: Population-based surveys estimate the prevalence of chronic daily headache (CDH) in the general community to be approximately 4%. The prevalence of CDH among patients seen in the primary care setting in the United States, however, is unknown. P ... Full text Link to item Cite

Variability in the diagnosis and point selection for persons with frequent headache by traditional Chinese medicine acupuncturists.

Journal Article J Altern Complement Med · November 2006 Featured Publication OBJECTIVES: The aim of this study was to compare Traditional Chinese Medicine (TCM) pattern diagnosis and acupuncture point selection for persons with frequent headache, as ascribed by three highly trained, licensed acupuncturists. METHODS: Thirty-seven (3 ... Full text Link to item Cite

A randomized controlled trial of acupuncture for initiation of labor in nulliparous women.

Journal Article J Matern Fetal Neonatal Med · August 2006 Featured Publication OBJECTIVE: To evaluate the utility of outpatient acupuncture for labor stimulation. METHODS: Nulliparous women at 39 4/7 weeks or greater with a singleton gestation and Bishop score of less than 7 were randomized to usual medical care (control group) versu ... Full text Link to item Cite

Four methods of estimating the minimal important difference score were compared to establish a clinically significant change in Headache Impact Test.

Journal Article J Clin Epidemiol · April 2006 Featured Publication OBJECTIVE: To estimate the smallest decrease in Headache Impact Test (HIT) scores that reflects meaningful clinical change among patients with chronic daily headache (CDH). STUDY DESIGN AND SETTING: We applied four methods of estimating the minimum importa ... Full text Link to item Cite

Exploring outcomes associated with acupuncture.

Journal Article J Altern Complement Med · April 2006 Featured Publication OBJECTIVE: The objective was to explore various methods of assessing clinically meaningful change associated with a course of acupuncture treatments. DESIGN: The design was a prospective cohort study. SETTING: The setting was an acupuncture clinic staffed ... Full text Link to item Cite

Acupuncture for Birth Preparation and Delivery: How Investigating Mechanisms of Action Can Generate Research

Journal Article Complementary Health Practice Review · January 1, 2006 Acupuncture has become an accepted and validated part of Western mainstream medicine and is increasingly used by clinicians, midwives, and acupuncturists for reproductive care, induction of labor, and analgesia. Most studies of the effects of obstetrical a ... Full text Cite

Prognostic factors, disability, and functional status among patients in a headache specialty practice.

Journal Article Cephalalgia · January 2006 Featured Publication The objective of this study was to identify prognostic factors and assess functional status over time among patients in a headache specialty practice. Study questionnaires were mailed to 599 patients who previously presented to a headache specialty practic ... Full text Link to item Cite

A randomized controlled trial of acupuncture for initiation of labor in nulliparous women

Conference American Journal of Obstetrics and Gynecology · December 2005 Full text Cite

A randomized, controlled trial of acupuncture for chronic daily headache.

Journal Article Headache · October 2005 Featured Publication BACKGROUND: Approximately 4% of adults experience headaches nearly every day. Nonpharmacologic interventions for frequent headaches may be appropriate because medical management alone is often ineffective. OBJECTIVE: To assess the efficacy of acupuncture a ... Full text Link to item Cite

Psychometric properties of the HIT-6 among patients in a headache-specialty practice.

Journal Article Headache · June 2005 Featured Publication OBJECTIVE: To evaluate the performance and score interpretability of the Headache Impact Test (HIT-6) questionnaire in a headache patient population. BACKGROUND: The HIT-6 is a standardized questionnaire designed to assess headache-related disability. Norm ... Full text Link to item Cite

Racial disparities in health between white and African American family practice patients: clinical implications.

Journal Article N C Med J · 2004 OBJECTIVE: To identify differences in self-reported health status and prevalence of chronic disease between African American and white patients. STUDY DESIGN: A representative sample of African American and white adult patients from a stratified sample of ... Link to item Cite

Standard scales for measurement of functional outcome for cervical pain or dysfunction: a systematic review.

Journal Article Spine (Phila Pa 1976) · March 1, 2002 Featured Publication STUDY DESIGN: A systematic review was conducted. OBJECTIVE: To identify, evaluate, and compare standard scales for assessing neck pain or dysfunction. SUMMARY OF BACKGROUND DATA: The degree of a patient's neck pain or dysfunction can be evaluated using sta ... Full text Link to item Cite

Dizziness: state of the science.

Journal Article Ann Intern Med · May 1, 2001 Dizziness is prevalent in all adult populations, causing considerable morbidity and utilization of health services. In the community, the prevalence of dizziness ranges from 1.8% in young adults to more than 30% in the elderly. In the primary care setting, ... Full text Link to item Cite

Tobacco promotion and susceptibility to tobacco use among adolescents aged 12 through 17 years in a nationally representative sample.

Journal Article Am J Public Health · November 1996 OBJECTIVES: The purpose of this study was to examine whether youth participation in tobacco promotion campaigns is associated with susceptibility to tobacco use. METHODS: Data were collected from telephone interviews of a national random sample of 1047 ado ... Full text Link to item Cite

The clinical course of palpitations in medical outpatients.

Journal Article Arch Intern Med · September 11, 1995 OBJECTIVE: The aim of this study was to describe the longitudinal course of patients who were referred for ambulatory electrocardiographic monitoring because of palpitations. METHODS: A prospective, follow-up examination was conducted of patients who had b ... Link to item Cite

Accurate awareness of heartbeat in hypochondriacal and non-hypochondriacal patients.

Journal Article J Psychosom Res · May 1995 We measured the accurate awareness of resting heartbeat in a sample of medical out-patients meeting DSM-III-R criteria for hypochondriasis (n = 60), and in a comparison group of non-hypochondriacal patients (n = 60) from the same general medical clinic. Pa ... Full text Link to item Cite

Psychiatric disorders in medical outpatients complaining of palpitations.

Journal Article J Gen Intern Med · June 1994 OBJECTIVE: To determine the prevalence of psychiatric disorders in ambulatory patients undergoing Holter monitoring to evaluate palpitations. DESIGN: Patients referred for 24-hour ambulatory electrocardiographic (ECG) monitoring were studied with a structu ... Full text Link to item Cite

Hypochondriacal patients' beliefs about good health.

Journal Article Am J Psychiatry · July 1993 OBJECTIVE: The authors hypothesized that hypochondriacal patients mistakenly believe good health to be a symptom-free state and that they consider more symptoms to be indicative of disease than do nonhypochondriacal patients. METHOD: The Health Norms Sorti ... Full text Link to item Cite